Individual
SANDRA TANKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5674 STONERIDGE DR STE 207, PLEASANTON, CA 94588-8592
(925) 520-0005
Mailing address
5674 STONERIDGE DR STE 207, PLEASANTON, CA 94588-8592
(925) 520-0005
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
432251
CA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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